Dynamic Support Management

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DYNAMIC SUPPORT MANAGEMENT

Practice address

3708 Tillman St NW
Massillon, OH 44646-3228

Phone

(330) 936-7941

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly M MooreNPI 1659045623

Title

Chief Executive Officer

Phone

(330) 936-7941

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly M Moore, LSW

  • Social Worker
  • Canton, OH
  • NPI 1659045623
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1154191245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 TILLMAN ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463228",
            "telephone_number": "330-936-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 TILLMAN ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463228",
            "telephone_number": "330-936-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC SUPPORT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-936-7941"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela D Drummond-Ray, MD
• Jeffery A Duffey, MD
• Victor Edward Dunham, MD
• Michelle A Duplain, PA
• Michelle Dusenberry, CNP
• Cody Dzoch
• Caredia D Earley
• Earthwalk Orthotics Acquisition Company LLC (Earthwalk Orthotics)
• Sandra Sue Eash
• Madison Marie Eatherton, PHARMD

• In Home Supportive Care Agency in Massillon, OH
• Providers in Massillon, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.